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Contact Information

KEITH E. TAYLOR, O.D.
166 ATLANTIC AVE
MARBLEHEAD, MA01945-2911
 Phone: 781-631-2182
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEITH E TAYLOR OD · (Female)

NPI Number 1174928311
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2014
Last updated 10/30/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 0348988
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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